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Congenital Upper Limb Deficiency with Oligodactyly: A Case Report
Anu Radha Twayana1, Neela Sunuwar2, Sulav Deo3
1Department of Medicine, Bhaktapur Hospital, Dudhpati, Bhaktapur, Nepal.
JNMA; Journal of the Nepal Medical Association
|January 27, 2023
Summary
This case report examines congenital upper limb deficiency, highlighting diagnostic challenges in low-income countries. Early diagnosis and multidisciplinary care are crucial for improving outcomes despite sociocultural barriers.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Congenital upper limb deficiency care has evolved significantly over 50 years.
- This condition has a low national incidence, necessitating case reports for data analysis.
- Understanding etiological factors and epidemiological trends is vital for management.
Observation:
- A case of congenital upper limb deficiency in a 2-month-old male is presented.
- The report explores potential etiologies, including maternal malnutrition.
- Diagnostic difficulties in low and middle-income countries are discussed.
Findings:
- Sociocultural barriers negatively impact prognosis.
- Poor maternal nutrition during unplanned pregnancies is a potential cause.
- Early diagnosis and intervention are often hindered in resource-limited settings.
Implications:
- A multidisciplinary approach is recommended for timely rehabilitation.
- Enhancing community knowledge about disabilities is essential.
- A framework is proposed to optimize care for congenital limb defects at the primary healthcare level.
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